活动咨询早期选择性皮肤冠状动脉干预 (ACE-PCI):混合方法试点随机对照试验
Nicole Freene1,2, Suzanne J Carroll2, Allyson Flynn1
1Department of Physiotherapy University of Canberra Bruce Australian Capital Territory Australia.
Health science reports
|March 20, 2024
概括
穿皮冠状动脉干预 (PCI) 后的一次简短的物理治疗咨询会话与通常护理相比,没有显著增加体力活动 (PA) 水平. 需要进一步的研究来优化PCI后的PA干预措施.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 皮肤穿刺冠状动脉干预 (PCI) 后的低体力活动 (PA) 会增加心脏事件的风险.
- 在出院前由理疗师领导的PA咨询可以改善PCI后的PA水平.
- 需要进行初步研究,以评估咨询与常规护理之间的有效性.
研究的目的:
- 为了评估物理治疗师领导的简短PA辅导会话的可行性和潜在有效性,选择后的PCI.
- 在咨询小组和常规护理小组之间比较PCI后早期的PA水平.
主要方法:
- 30名参与者被随机分配到由理疗师领导的PA咨询 (30分钟) 或常规护理 (护士建议<5分钟).
- 主要结局:中度至强烈的PA (3周后的加速计).
- 二次结果:心脏康复的意图,焦虑,抑郁,生活质量;通过招聘,保留,消耗评估可行性;定性访谈探讨了可接受性和障碍/助力因素.
主要成果:
- 在3周后,PA水平在组间或组内没有显著差异.
- 符合可行性标准,除了保留和磨损.
- 只有25%计划进行心脏康复;没有群体差异.
- 与年轻年龄相关的增加的PA,其他慢性疾病的缺失,以及退院后立即的活动.
- 采访确定了个人,环境和与计划相关的障碍和助力PA的因素.
结论:
- 与简短的护士建议相比,由理疗师领导的简短的PA辅导会可能不会改善选择性PCI后的早期PA水平.
- 一个更大的多中心试验是可行的,有了改善的参与者后续战略.
- 需要进一步的研究来完善后PCI患者的PA干预措施.
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